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Mercy Hospital Stoddard

Mercy Hospital Stoddard publishes cash prices for 36 common procedures listed here, from its own machine-readable price file updated Jun 12, 2026. Click a procedure to compare it with other hospitals nearby.

1200 N One Mile Rd Dexter Missouri 63841-1000 Collected Sep 23, 2026 Source price file

Scans and imaging

ProcedureCash price List priceOff list
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%
Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US Preg Uterus After 1st Trimest 1/1st Gestation $197.25 $263.00 25%

Lab tests

ProcedureCash price List priceOff list
Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Panel Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 Basic Metabolic Pnl Calcium Total $30.00 $40.00 25%
Basic metabolic panel (blood test) inpatient CPT 80048 POC Bmp W Calcium Total $30.00 $40.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 Tfh So Lipid Panel $46.50 $62.00 25%
Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC Lipid Panel $46.50 $62.00 25%
Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 POC Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Blood Count Complete Auto&Auto Difrntl Wbc $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc With Diff ABN $38.25 $51.00 25%
Complete blood count (CBC) with differential inpatient CPT 85025 Cbc W Auto Diff $38.25 $51.00 25%
Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Complete blood count (CBC), no differential inpatient CPT 85027 Blood Count Complete Automated $38.25 $51.00 25%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Comprehensive metabolic panel (blood test) inpatient CPT 80053 Comprehensive Metabolic Panel $46.50 $62.00 25%
Kidney function blood test panel CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $28.50 $38.00 25%
Kidney function blood test panel inpatient CPT 80069 Renal Function Panel $28.50 $38.00 25%
Liver function blood test panel CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Liver function blood test panel inpatient CPT 80076 Hepatic Function Panel $46.50 $62.00 25%
Obstetric blood test panel CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel $60.75 $81.00 25%
Obstetric blood test panel inpatient CPT 80055 Obstetric Panel $60.75 $81.00 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 Assay of Prostate Specific Antigen Free $98.25 $131.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Ultrasensitive $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 POC Psa Total Diagnostic $46.50 $62.00 25%
PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 Assay of Prostate Specific Antigen Total $46.50 $62.00 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 Thromboplastin Time Partial Plasma/Whole Blood $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $23.25 $31.00 25%
Prothrombin time (PT/INR) clotting test inpatient CPT 85610 Prothrombin Time $23.25 $31.00 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 Assay of Thyroid Stimulating Hormone Tsh $50.25 $67.00 25%
Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 POC Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urinalysis Automated W Micro $19.50 $26.00 25%
Urinalysis with microscope exam, automated inpatient CPT 81001 Urnls Dip Stick/Tablet Reagent Auto Microscopy $19.50 $26.00 25%
Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis with microscope exam, manual inpatient CPT 81000 Urinls Dip Stick/Tablet Reagnt Non-Auto Micrscpy $12.00 $16.00 25%
Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 Urnls Dip Stick/Tablet Rgnt Auto W/O Microscopy $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, automated inpatient CPT 81003 POC Urinalysis Automated W/O Micro $11.25 $15.00 25%
Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 Urnls Dip Stick/Tablet Rgnt Non-Auto W/O Micrscp $12.00 $16.00 25%
Urinalysis without microscope exam, manual inpatient CPT 81002 POC Urinalysis Non-Auto $12.00 $16.00 25%

Surgery and procedures

ProcedureCash price List priceOff list
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 Njx Aa&/Strd Tfrml Epi Lumbar/Sacral 1 Level $294.75 $393.00 25%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Removal of a breast lump, open surgery inpatient CPT 19120 Exc Cyst/Aberrant Breast Tissue Open 1/> Lesion $1,158.00 $1,544.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Shoulder arthroscopy: shaving of the shoulder bone (add-on to another shoulder surgery) inpatient CPT 29826 Surgical Arthroscopy Sho W/Coracoacrm Ligm Rls $660.75 $881.00 25%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%
Total knee replacement inpatient CPT 27447 Arthrp Kne Condyle&Platu Medial&Lat Compartments $2,115.75 $2,821.00 25%

Doctor visits and therapy

ProcedureCash price List priceOff list
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Electrocardiogram (ECG/EKG) with interpretation inpatient CPT 93000 Ecg Routine Ecg W/Least 12 Lds W/I&R $52.50 $70.00 25%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy with the patient, 50 minutes inpatient CPT 90847 Family Psychotherapy W/Patient Present 50 Mins $222.75 $297.00 25%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Family therapy without the patient, 50 minutes inpatient CPT 90846 Family Psychotherapy W/O Patient Present 50 Mins $188.25 $251.00 25%
Group psychotherapy session CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy $30.75 $41.00 25%
Group psychotherapy session inpatient CPT 90853 Group Psychotherapy $30.75 $41.00 25%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 30 minutes inpatient CPT 99203 Office/Outpatient New Low Mdm 30 Minutes $106.50 $142.00 25%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 45 minutes inpatient CPT 99204 Office/Outpatient New Moderate Mdm 45 Minutes $159.75 $213.00 25%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
New patient office visit, about 60 minutes inpatient CPT 99205 Office/Outpatient New High Mdm 60 Minutes $185.25 $247.00 25%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 18–39 inpatient CPT 99385 Initial Preventive Medicine New Pt Age 18-39yrs $96.75 $129.00 25%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Preventive checkup, new patient aged 40–64 inpatient CPT 99386 Initial Preventive Medicine New Patient 40-64yrs $84.75 $113.00 25%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 30 minutes inpatient CPT 90832 Psychotherapy W/Patient 30 Minutes $78.75 $105.00 25%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 45 minutes inpatient CPT 90834 Psychotherapy W/Patient 45 Minutes $102.00 $136.00 25%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Psychotherapy session, 60 minutes inpatient CPT 90837 Psychotherapy W/Patient 60 Minutes $150.00 $200.00 25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, low complexity or 30+ minutes inpatient CPT 99243 Office/OP Consltj New/Est Pt Low Mdm 30 Minutes $180.00 $240.00 25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%
Specialist consultation, moderate complexity or 40+ minutes inpatient CPT 99244 Office/OP Consltj New/Est Pt Mod Mdm 40 Minutes $189.75 $253.00 25%

Source file: https://www.mercy.net/content/dam/mercy/en/web-assets/charge-files/461481133_mercy-hosptial-stoddard-PoplarBluff_RHC_standardcharges.zip